MEDICARE: TIARA SMITH LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	227022980	IL

General Provider Information

NPI Number	:	1174216113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIARA SMITH LMT

Provider Business Mailing Address
First Line	:	18404 GLEN OAK AVE
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-2823
Country	:	US
Telephone Number	:	708-897-1417
Fax Number	:

Provider Business Practice Location Address
First Line	:	18404 GLEN OAK AVE
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-2823
Country	:	US
Telephone Number	:	708-897-1417
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	05/26/2023

Similar Medicare Providers

1164576500 — WOMEN'S PERSONAL GROWTH AND PSYCHOTHERAPY CENTER, PC
Practice Location Address:

1350 HASLETT RD STE 102
EAST LANSING, MI
48823-2823

Practice Phone: 517-347-2126
Practice Fax:

1669845871 — ANDREA MARTINEAU LMSW
Practice Location Address:

1350 HASLETT RD STE 101
EAST LANSING, MI
48823-2823

Practice Phone: 517-303-5518
Practice Fax:

1063972347 — STACIE DUBAY MSW
Practice Location Address:

1350 HASLETT RD
EAST LANSING, MI
48823-2823

Practice Phone: 517-316-5289
Practice Fax:

1467009563 — DUBAY COUNSELING & CONSULTING L.L.C.
Practice Location Address:

1350 HASLETT RD
EAST LANSING, MI
48823-2823

Practice Phone: 517-316-5289
Practice Fax:

1033837190 — SARAH MASALKOSKI
Practice Location Address:

1350 HASLETT RD # 101
EAST LANSING, MI
48823-2823

Practice Phone: 989-239-0870
Practice Fax: 734-800-3183

1417713876 — MOSAIC THERAPY LLC
Practice Location Address:

1350 HASLETT RD # 101
EAST LANSING, MI
48823-2823

Practice Phone: 517-292-4068
Practice Fax:

Directions to “ TIARA SMITH LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.